As a Patient Access Representative, you will be responsible for registering patients in a professional and courteous manner. This role includes conducting patient/guarantor interviews, explaining hospital policies, and verifying financial and demographic information for accurate documentation. You will work directly with patients, ensuring that all necessary authorizations and pre-certifications are obtained to meet individual payor requirements. Your role is vital in providing a smooth and welcoming experience for patients.
Responsibilities:
Interview and register patients in compliance with hospital policies.
Ensure adherence to EMTALA rules and regulations during emergency department registration.
Accurately input demographic and financial data into the system to ensure proper revenue routing.
Validate and update patient information as needed, maintaining a 97% accuracy level.
Scan all necessary documents, including insurance cards, personal identification, and driver’s licenses.
Obtain insurance information and verify patient coverage, ensuring accounts reflect correct details.
Secure pre-certifications/authorizations in accordance with payor protocols.
Collect deposits, copays, deductibles, and payments for non-covered services.
Utilize tools to ensure compliance with payor payment authorization protocols.
Assist patients with completing financial packets and establishing financial arrangements according to hospital policies.
Complete the Advanced Beneficiary Notification for Medicare patients as required.
Record and maintain comments in the system to ensure accurate follow-up.
Assist the admitting supervisor and director with patient-related duties as needed.
Manage patient room assignments in collaboration with nursing staff and ensure proper placement.
Provide professional and courteous service to patients, families, visitors, and hospital staff.
Experience:
Minimum two (2) years of experience in healthcare, insurance, or a related field.
Experience in an inpatient or outpatient admissions setting or a physician’s office is preferred.
Knowledge of patient accounting, insurance payor systems, and medical terminology.
Strong communication skills, both written and verbal, to interact with patients, payers, and hospital staff.
Ability to work both independently and as part of a team.
Computer literacy required.
Bilingual (Spanish) preferred.
Education:
High School diploma or equivalent required
Some college coursework, Certified Patient Account Technician certification, or medical terminology course preferred
Licensure/ Certification:
Must successfully complete and maintain LA City Fire Card certification within the first 30 days of employment
Must successfully complete and maintain Managing Aggressive Behavior certification within 30 days of employment
General Responsibilities:
Maintain a professional atmosphere in the hospital at all times.
Adjust to changes in department schedules as required, filling in during emergencies when necessary.
Respect patients' privacy in accordance with the Patient’s Bill of Rights and HIPAA regulations.
Attend and participate in departmental meetings, staying informed on all communicated updates.
Ensure smooth teamwork and cooperation with other departments.
Foster a positive public image by interacting professionally with patients and visitors.
